Accident Details
Date
Friday, February 24, 1989
NTSB Number
DCA89MA027
Location
HONOLULU, HI
Event ID
20001213X27705
Coordinates
21.270326, -157.819931
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
9
Serious Injuries
5
Minor Injuries
33
Uninjured
309
Total Aboard
356
Probable Cause and Findings
THE SUDDEN OPENING OF THE IMPROPERLY LATCHED FORWARD LOBE CARGO DOOR IN FLIGHT AND THE SUBSEQUENT EXPLOSIVE DECOMPRESSION. CONTRIBUTING TO THE ACCIDENT WAS A DEFICIENCY IN THE DESIGN OF THE CARGO DOOR LOCKING MECHANISMS, WHICH MADE THEM SUSCEPTIBLE TO INSERVICE DAMAGE, AND WHICH ALOWED THE DOOR TO BE UNATCHED, YET TO SHOW A PROPERLY LATCHED AND LOCKED POSITION. ALSO CONTRIBUTING TO THE ACCIDENT WAS THE LACK OF PROPER MAINTENANCE AND INSPECTION OF THE CARGO DOOR BY UNITED AIRLINES, AND A LACK OF TIMELY CORRECTIVE ACTIONS BY BOEING AND THE FAA FOLLOWING A PREVIOUS DOOR OPENING INCIDENT.
Aircraft Information
Registration
N4713U
Make
BOEING
Serial Number
N4713U
Model / ICAO
747-122
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# DCA89MA027